1. [Severe reversible penile ischaemia after terlipressin treatment of hepatorenal syndrome].
- Author
-
Lange LB and Borg K
- Subjects
- Aged, Humans, Liver Cirrhosis, Alcoholic, Lypressin, Male, Acute Kidney Injury, Hepatorenal Syndrome drug therapy, Ischemia chemically induced, Penis blood supply, Terlipressin administration & dosage, Terlipressin adverse effects, Vasoconstrictor Agents administration & dosage, Vasoconstrictor Agents adverse effects
- Abstract
This case report presents a 70-year-old man with alcoholic liver cirrhosis, who was hospitalised due to pulmonary oedema, and who developed acute renal injury. Though the criteria were not fulfilled, hepatorenal syndrome was suspected and treated with terlipressin, after which the patient developed severe penile ischaemia. Hepatorenal syndrome is one of many potential causes of acute kidney injury in patients with acute or chronic liver disease. The syndrome is an exclusion diagnosis, and other causes of liver and renal failure should be investigated, before treatment is started. A flow chart can be used for a correct diagnosis.
- Published
- 2018